Provider Demographics
NPI: | 1639907967 |
---|---|
Name: | WITH WOMAN CARE AND CONSULTANTS, LLC |
Entity type: | Organization |
Organization Name: | WITH WOMAN CARE AND CONSULTANTS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PROVIDER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ASHLEY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRINKLEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | FNP-C, CNM |
Authorized Official - Phone: | 470-444-9898 |
Mailing Address - Street 1: | 1916 PRESTON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | COLUMBUS |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 31906-1518 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 478-714-2946 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1916 PRESTON DRIVE |
Practice Address - Street 2: | |
Practice Address - City: | COLUMBUS |
Practice Address - State: | GA |
Practice Address - Zip Code: | 31906 |
Practice Address - Country: | US |
Practice Address - Phone: | 470-444-9898 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-07-26 |
Last Update Date: | 2024-07-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
1891145116 | Other | NPI |